Preferred Pharmacies

What are Preferred Pharmacies?

Hi, you may be wondering, what is a preferred pharmacies? Preferred pharmacies are pharmacies selected by insurance companies or pharmacy benefit managers (PBMs) as prescription drug preferred providers. Preferred pharmacies agree to provide medications at a lower cost to the insurance companies or PBMs. In return, preferred pharmacies may receive a higher volume of business from the insurance companies or PBMs' customers.

Preferred pharmacies are found in a variety of settings like chain pharmacies, independent pharmacies, and supermarkets. Some insurance plans and PBMs have limited networks of preferred pharmacies and others have a larger networks with a wide range of pharmacy options.

Individuals with insurance plans including a preferred pharmacy network, may pay a lower co-payment for their medications at a preferred pharmacy compared a non-preferred pharmacy. For some, the difference in co-payments are significant and individuals pay a higher co-payment for medications from a non-preferred pharmacy. Importantly, people should check with their insurance plans or PBMs to determine if their plan has a preferred pharmacy network and to understand the costs for using a preferred pharmacy versus a non-preferred pharmacy.

So, preferred pharmacies are pharmacies are selected by an insurance companies or pharmacy benefit managers as a preferred providers of prescription drugs. Preferred pharmacies agree to provide lower cost medications to the insurance companies or PBMs. In return, preferred pharmacies may receive a higher volume of business from insurance companies or PBMs customers. People with insurance plans with a preferred pharmacy network may pay a lower co-payment for medications at a preferred pharmacy compared to a non-preferred pharmacy. Importantly, people should check with their insurance plans or PBMs to determine if their plan includes a preferred pharmacy network and understand the costs associated with using a preferred pharmacy versus a non-preferred pharmacy.

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North Carolina: We do not offer every plan available in your area. Currently we represent 23 organizations which offer 121 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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Georgia: We do not offer every plan available in your area. Currently we represent 20 organizations which offer 103 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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Texas: We do not offer every plan available in your area. Currently we represent 28 organizations which offer 164 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Ohio: We do not offer every plan available in your area. Currently we represent 23 organizations which offer 133 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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California: We do not offer every plan available in your area. Currently we represent 33 organizations which offer 178 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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